Palmetto Primary Care Physicians, LLC
Palmetto Primary Care Physicians, LLC was paid $891K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
MONCKS CORNER, SC 29461
Next to other Family Medicine Physician providers in South Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,430 | $178K | |
| 2019 | 2,580 | $144K | |
| 2020 | 2,391 | $145K | |
| 2021 | 2,414 | $140K | |
| 2022 | 1,991 | $106K | |
| 2023 | 1,733 | $97K | |
| 2024incomplete | 1,406 | $82K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 56% | 5,921 | 5,286 | $495K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 5,364 | 4,802 | $314K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 210 | 205 | $21K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.2% | 227 | 210 | $20K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.2% | 1,002 | 945 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 79 | 78 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,053 | 1,919 | $4K |
| 90461 | <1% | 172 | 161 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 214 | 202 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | 29 | $1K |
| 90674 | <1% | 71 | 68 | $1K |
7 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $583.65 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 115 | $417.22 |
| 81003 | <1% | 157 | $408.05 | |
| 90661 | <1% | 13 | $159.05 | |
| 90686 | <1% | 198 | $82.92 | |
| 90651 | 0% | 12 | $0.00 | |
| 90734 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.